Stichting World Bass Clarinet
Membership application form

Before filling the form be advised that a subscription fee is required.
You can pay via PayPal, charged from your PayPal account - if you have one - or your creditcard via PayPal. Both options are fully safe and handled through encrypted and verified forms.

You can enter the subcription by clicking the PayPal-button, there's no need to complete the application form first or afterwards.

You may also send the money in cash. Would it be impossible for you to pay the subscription fee in this manner, please click here for other options.

Fields marked with a red asterisks (*) are required.

Your name*
Your address*
City*
Zip/postal code*
State/Country*
E-mail address*
Telephone number

		I have paid € 25,00 through PayPal from my account or creditcard. (use the PayPal button first)
		I enclose € 25,00 cash in an envelope mailed to "Stichting World Bass Clarinet", P.O. Box 63054 NL-3002 JB Rotterdam, The Netherlands.
		Or fill this form for alternative payment methods.
		Post address:
		Stichting World Bass Clarinet P.O. Box 63054 NL-3002 JB Rotterdam, The Netherlands E-mail: info@worldbassclarinet.com

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